Clinical presentation and diagnosis of neuropathic pain
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Dor |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500015 |
Resumo: | ABSTRACT BACKGROUND AND OBJECTIVES: Neuropathic pain is reason for distress and incapacity of several patients, being that symptoms, mechanisms and management distinguish it from nociceptive pain. This study aimed at discussing the clinical presentation and diagnosis of neuropathic pain. CONTENTS: Neuropathic pain is manifested by several symptoms, being continuous burning pain, shock sensation and mechanical alodynia the most common ones. Neurophysiologic studies and skin biopsy suggest that burning pain is reflex of spontaneous activity of afferent nociceptive fibers, while shock sensation is originated from high frequency ectopic stimuli, generated in demyelinated Aβ fibers. Clinical exam, made up of history and elementary physical neurological evaluation, is critical for the adequate diagnosis of the type of pain, as well as more detailed exams, such as quantitative sensory tests and confocal optic microscopy, may bring further subsidies to the diagnosis of the type of pain. CONCLUSION: Clinical presentation of neuropathic pain has characteristics which help the accurate diagnosis of the syndrome or disease responsible for the onset of the complaint. Adequate clinical evaluation, including directed physical neurologic exam, sensory quantitative tests and cornea confocal microscopy cooperate for a more accurate diagnosis. |
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Clinical presentation and diagnosis of neuropathic painClinical presentationDiagnosisNeuropathic painABSTRACT BACKGROUND AND OBJECTIVES: Neuropathic pain is reason for distress and incapacity of several patients, being that symptoms, mechanisms and management distinguish it from nociceptive pain. This study aimed at discussing the clinical presentation and diagnosis of neuropathic pain. CONTENTS: Neuropathic pain is manifested by several symptoms, being continuous burning pain, shock sensation and mechanical alodynia the most common ones. Neurophysiologic studies and skin biopsy suggest that burning pain is reflex of spontaneous activity of afferent nociceptive fibers, while shock sensation is originated from high frequency ectopic stimuli, generated in demyelinated Aβ fibers. Clinical exam, made up of history and elementary physical neurological evaluation, is critical for the adequate diagnosis of the type of pain, as well as more detailed exams, such as quantitative sensory tests and confocal optic microscopy, may bring further subsidies to the diagnosis of the type of pain. CONCLUSION: Clinical presentation of neuropathic pain has characteristics which help the accurate diagnosis of the syndrome or disease responsible for the onset of the complaint. Adequate clinical evaluation, including directed physical neurologic exam, sensory quantitative tests and cornea confocal microscopy cooperate for a more accurate diagnosis.Sociedade Brasileira para o Estudo da Dor2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500015Revista Dor v.17 suppl.1 2016reponame:Revista Dorinstname:Sociedade Brasileira para o Estudo da Dor (SBED)instacron:SBED10.5935/1806-0013.20160040info:eu-repo/semantics/openAccessBarros,Guilherme Antônio Moreira deColhado,Orlando Carlos GomesGiublin,Mário Luizeng2016-09-22T00:00:00Zoai:scielo:S1806-00132016000500015Revistahttps://www.scielo.br/j/rdor/ONGhttps://old.scielo.br/oai/scielo-oai.phpdor@dor.org.br||dor@dor.org.br2317-63931806-0013opendoar:2016-09-22T00:00Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED)false |
dc.title.none.fl_str_mv |
Clinical presentation and diagnosis of neuropathic pain |
title |
Clinical presentation and diagnosis of neuropathic pain |
spellingShingle |
Clinical presentation and diagnosis of neuropathic pain Barros,Guilherme Antônio Moreira de Clinical presentation Diagnosis Neuropathic pain |
title_short |
Clinical presentation and diagnosis of neuropathic pain |
title_full |
Clinical presentation and diagnosis of neuropathic pain |
title_fullStr |
Clinical presentation and diagnosis of neuropathic pain |
title_full_unstemmed |
Clinical presentation and diagnosis of neuropathic pain |
title_sort |
Clinical presentation and diagnosis of neuropathic pain |
author |
Barros,Guilherme Antônio Moreira de |
author_facet |
Barros,Guilherme Antônio Moreira de Colhado,Orlando Carlos Gomes Giublin,Mário Luiz |
author_role |
author |
author2 |
Colhado,Orlando Carlos Gomes Giublin,Mário Luiz |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Barros,Guilherme Antônio Moreira de Colhado,Orlando Carlos Gomes Giublin,Mário Luiz |
dc.subject.por.fl_str_mv |
Clinical presentation Diagnosis Neuropathic pain |
topic |
Clinical presentation Diagnosis Neuropathic pain |
description |
ABSTRACT BACKGROUND AND OBJECTIVES: Neuropathic pain is reason for distress and incapacity of several patients, being that symptoms, mechanisms and management distinguish it from nociceptive pain. This study aimed at discussing the clinical presentation and diagnosis of neuropathic pain. CONTENTS: Neuropathic pain is manifested by several symptoms, being continuous burning pain, shock sensation and mechanical alodynia the most common ones. Neurophysiologic studies and skin biopsy suggest that burning pain is reflex of spontaneous activity of afferent nociceptive fibers, while shock sensation is originated from high frequency ectopic stimuli, generated in demyelinated Aβ fibers. Clinical exam, made up of history and elementary physical neurological evaluation, is critical for the adequate diagnosis of the type of pain, as well as more detailed exams, such as quantitative sensory tests and confocal optic microscopy, may bring further subsidies to the diagnosis of the type of pain. CONCLUSION: Clinical presentation of neuropathic pain has characteristics which help the accurate diagnosis of the syndrome or disease responsible for the onset of the complaint. Adequate clinical evaluation, including directed physical neurologic exam, sensory quantitative tests and cornea confocal microscopy cooperate for a more accurate diagnosis. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500015 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132016000500015 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1806-0013.20160040 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Estudo da Dor |
dc.source.none.fl_str_mv |
Revista Dor v.17 suppl.1 2016 reponame:Revista Dor instname:Sociedade Brasileira para o Estudo da Dor (SBED) instacron:SBED |
instname_str |
Sociedade Brasileira para o Estudo da Dor (SBED) |
instacron_str |
SBED |
institution |
SBED |
reponame_str |
Revista Dor |
collection |
Revista Dor |
repository.name.fl_str_mv |
Revista Dor - Sociedade Brasileira para o Estudo da Dor (SBED) |
repository.mail.fl_str_mv |
dor@dor.org.br||dor@dor.org.br |
_version_ |
1752126255461826560 |